A Retrospective Cohort study: The Mortality Rate of Patient with Acute Cholangitis Performing Endoscopic Retrograde Cholangiopancreatography Within and After 48 Hours.
DOI:
https://doi.org/10.1016/hscr.v37i2.259631Abstract
ABSTRACT
Objective: To study the mortality rate of patients with acute cholangitis grade I-III in early and late Endoscopic Retrograde Cholangiopancreatography (ERCP)
Methods: Analyzed 162 patients who were diagnosed with acute cholangitis and underwent ERCP procedure for biliary drainage in Uttaradit Hospital from January 1st, 2015–June 30th, 2022. Patient’s data were retrospectively obtained from ICD-10 medical records. Patients were classified into severity grading by Tokyo guidelines 2018 and divided into 2 groups, 68 patients with the early ERCP group (ERCP performed within the first 48 hours after admission) and 94 patients with the late ERCP group (ERCP performed after the first 48 hours after admission). Mortality rates of patients with different severity were compared between these 2 groups. All data were analyzed by descriptive and analytic statistics.
Results: Patients with acute cholangitis in grade III in early ERCP had lower mortality rate than late ERCP about 0.75 times (95% CI 0.093-0.599, p=0.785) with no statistically significant difference. The overall mortality was not significantly different between the early ERCP group and the late ERCP group.
Conclusion: Patients with acute cholangitis in early and late ERCP have no difference with mortality rate in each severity.
Keywords: Mortality rate, Acute cholangitis, Endoscopic Retrograde Cholangiopancreatography
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